Provider Demographics
NPI:1538946520
Name:CPR DME LLC
Entity type:Organization
Organization Name:CPR DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLMENERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-241-0408
Mailing Address - Street 1:900 N BONHAM ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-0097
Mailing Address - Country:US
Mailing Address - Phone:956-241-0408
Mailing Address - Fax:
Practice Address - Street 1:900 N BONHAM ST STE 6
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-0097
Practice Address - Country:US
Practice Address - Phone:956-241-0408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies